TY - JOUR
T1 - The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy
AU - Park, Eun Sook
AU - Park, Chang Il
AU - Chang, Hyun Jung
AU - Choi, Jong Eun
AU - Lee, Don Shin
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2004/12
Y1 - 2004/12
N2 - Park ES, Park CI, Chang HJ, Choi JE, Lee DS. The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy. To investigate the effectiveness of the hinged ankle-foot orthosis (AFO) on sit-to-stand (STS) transfers in children with spastic cerebral palsy. Before-after trial. University-affiliated hospital. Nineteen spastic diplegic children (age range, 26y). Not applicable. The transitional movement of STS was tested in random order with children while wearing the barefoot and hinged AFOs. The temporal, kinematic, and kinetic data during the task were collected by using a motion analyzer (with 6 infrared cameras). Statistical comparison between barefoot and hinged AFO was done with the Wilcoxon signed-rank test. Total duration of STS transfer was significantly shortened with the hinged AFO (P<.05). The initial knee flexion, the initial angle, and the final angle of ankle dorsiflexion were increased with the AFO, compared with when barefoot (P<.05). However, the increased pelvic tilt and hip flexion while barefoot was not reduced with the AFO. The maximal moment and power of hip and knee joints were significantly increased with the AFO (P<.05), whereas the maximal moment and power of the ankle joint were not significantly changed when wearing the AFO. Although proximal compensatory strategy of increased pelvic tilt and hip flexion did not change with the hinged AFO, some improvements of temporal, kinematic, and kinetic parameters were identified during the task. These findings suggest that a hinged AFO is beneficial for STS transfer activity for children with spastic diplegia.
AB - Park ES, Park CI, Chang HJ, Choi JE, Lee DS. The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy. To investigate the effectiveness of the hinged ankle-foot orthosis (AFO) on sit-to-stand (STS) transfers in children with spastic cerebral palsy. Before-after trial. University-affiliated hospital. Nineteen spastic diplegic children (age range, 26y). Not applicable. The transitional movement of STS was tested in random order with children while wearing the barefoot and hinged AFOs. The temporal, kinematic, and kinetic data during the task were collected by using a motion analyzer (with 6 infrared cameras). Statistical comparison between barefoot and hinged AFO was done with the Wilcoxon signed-rank test. Total duration of STS transfer was significantly shortened with the hinged AFO (P<.05). The initial knee flexion, the initial angle, and the final angle of ankle dorsiflexion were increased with the AFO, compared with when barefoot (P<.05). However, the increased pelvic tilt and hip flexion while barefoot was not reduced with the AFO. The maximal moment and power of hip and knee joints were significantly increased with the AFO (P<.05), whereas the maximal moment and power of the ankle joint were not significantly changed when wearing the AFO. Although proximal compensatory strategy of increased pelvic tilt and hip flexion did not change with the hinged AFO, some improvements of temporal, kinematic, and kinetic parameters were identified during the task. These findings suggest that a hinged AFO is beneficial for STS transfer activity for children with spastic diplegia.
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U2 - 10.1016/j.apmr.2004.05.008
DO - 10.1016/j.apmr.2004.05.008
M3 - Article
C2 - 15605347
AN - SCOPUS:9944220945
VL - 85
SP - 2053
EP - 2057
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 12
ER -